Individual
DR. GARY X LANCELOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7301 SW 57TH CT STE 555, SOUTH MIAMI, FL 33143-5334
(305) 668-7999
(305) 668-7988
Mailing address
14520 SW 77TH ST, MIAMI, FL 33183-2967
(305) 386-6944
(305) 408-9892
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY4882
FL
Other
Enumeration date
10/13/2006
Last updated
04/01/2012
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